CN2782017Y - Electrical physiological electrode conduit - Google Patents

Electrical physiological electrode conduit Download PDF

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Publication number
CN2782017Y
CN2782017Y CN 200520055616 CN200520055616U CN2782017Y CN 2782017 Y CN2782017 Y CN 2782017Y CN 200520055616 CN200520055616 CN 200520055616 CN 200520055616 U CN200520055616 U CN 200520055616U CN 2782017 Y CN2782017 Y CN 2782017Y
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China
Prior art keywords
conduit
electrode
hardness
utility
model
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Expired - Lifetime
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CN 200520055616
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Chinese (zh)
Inventor
马坚
韩永贵
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Shenzhen Huitai Medical Instrument Co., Ltd.
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SHENZHEN HUITAI MEDICAL INSTRUMENT CO Ltd
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Abstract

The utility model discloses an electrical physiological electrode conduit. The technical problem that the utility model is to solve is to facilitate a physician to successfully send the electrode conduit to an appointed position in a patient's cardiac chamber. The electrical physiological electrode conduit comprises a conduit, a guard wire, a copper conducting wire, an electrode of a section at the far end of the conducting wire, and a connector at the near end of the conduit, wherein the guard wire and the copper conducting wire are arranged in the conduit, the hardness of the catheter is gradually changed from hardness to softness from the near end to the far end. The hardness of the conduit of the utility model is changed from hardness to softness from the far end to the near end. The conduit is composed of section of different hardness from the near end to the far end. The hardness of the near end is high, the hardness of the far end is low, the hardness of middle part of the conduit is higher than that of the far end. As a result, the far end of the conduit in the cardiac chamber is soft enough and the operational safety of an operation is guaranteed. The near end has enough hardness so that the conduit has excellent pushing and conveying performance and 1/1 torsional performance.

Description

Electricity physiological electrode conduit
Technical field
This utility model relates to a kind of medical apparatus and instruments, particularly a kind of electric physiological electrode conduit.
Background technology
Electricity physiological electrode conduit (hereinafter to be referred as electrode catheter) is the electricity physiological signal that is used to write down each position in the heart, and heart is carried out electricity irritation, carries out the crux parts of the electric physiology mapping of heart disease.Its method is at first puncture femoral vein blood vessel or internal jugular vein blood vessel, lumen of vessels is delivered to diverse location in the chambers of the heart with electrode catheter in the radioscopy lower edge, heart is carried out electrophysiologic study, bring out and diagnose various arrhythmia, clear and definite ARR origin focus is for radiofrequency ablation therapy provides necessary foundation.This inspection and Therapeutic Method had both avoided patient to open the hardship of breast, can treat arrhythmia again, seldom caused severe complication, and the wide model that obtains is clinically at home and abroad used.
From nineteen sixty after the first patient's heart records His bundle electrogram, clinical cardiac electrophysiology just has been born.The important symbol that forms this subject is through vein electrode to be positioned over different cardias with the core, writes down the exciting signal of partial electrocardio and artificial electrical stimulation is reached cardiac muscle.Because used just top is with the hollow cardiac catheter of electrode, at first to His bundle electrogram to be recorded as power low, conduit need be surveyed for a long time repeatedly at the position, atrial septum.Obviously, the electrode catheter technology of the intracardiac signal of telecommunication of this record is very immature, and poor repeatability can't routine be used for clinical.Began to adopt far-end to be 6 utmost point electrode catheters of J type bending in 1969, can be reliably and record the signal of telecommunication of heart different parts safely, for road has been laid in the fast development of subsequently cardiac electrophysiology.Especially, the electrode catheter technology of record His bundle electrogram is widely used in studying the chamber conduction under various physiology and the pathological condition, the chamber and the intraventricular block of diagnosis different parts, observe the effect of medicine, also greatly improved the diagnostic level of electrocardiogram simultaneously auriculoventricular block to the chamber conduction.Almost simultaneously, utilize the inspection technology (cardiac procedure electricity irritation) of electrode catheter conduction artificial electrical stimulation, and combine, caused the huge leap forward of clinical cardiac electrophysiology with the graph of heart recording technique.Write down the electrocardio-activity of various spontaneous physiology or pathological state by early stage passive type, develop into and to bring out or to simulate various ARR active research methoies, formed the methodology that cardiac electrophysiology is checked.The electrophysiologic study method that adopts the kind electrode conduit to get involved, not only can bring out and stop most tachy-arrhythmia repeatedly, and can measure the various refractory stages of atrium, atrioventricular node, Xi Shi bundle, Purkinje fiber and ventricle, observe and understand the effect of medicine these electric-physiology parameters.Thereupon, for different parts record electrical activity and granting electricity irritation at heart, the electrode catheter quantity that is placed in the chambers of the heart constantly increases, and has formed correctly to diagnose endocardial catheter mapping technology supraventricular and ventricular tachycardia mechanism and origin focus.
In more than 30 year of past,,, developed the electrode catheter of variform and function for some special diagnostic purpose or at specific anatomical cardiac position along with clinical cardiac electrophysiology develops into " treatment " ARR process from " research ".For example: the electrodeplate of electrode catheter is from 2 best, 24 utmost points, the electrode catheter of different poles spacing or group spacing, the electrode catheter of different section bendings far away or camber, the controlled electrode catheter of section far away, the crossed electrode conduit of special record bypass current potential, the energy facility is exclusively used in 10 utmost point electrode catheters of mapping coronary sinus vein, the pulmonary venous controllable electrodes conduit of ring-type mapping along the CT or the Halo electrode catheter of right room circle's ridge or tricuspid annulus placement.In addition, the blue electrode catheter of 64 polar nets that three-dimensional mapping is used has also appearred.
At present, domestic employed clinically electrode catheter is external conduit company and makes, and is mainly Cordis company, Daig company, Bard company and IBI company.The formation of electrode catheter comprises two parts, the one, and far-end has the conduit of varying number electrode, and the 2nd, the external prolongation cable of connection physiograph.Because of needing intravascular, electrode catheter is placed into the different parts of heart, bipolar or the one pole signal of telecommunication in the decapacitation reliable recording chambers of the heart, simultaneously external electricity irritation impulsion is reached outside the intracardiac basic function, also should possess good operating characteristics, comprise compliance, slickness, plasticity, propelling movement or return removing property and rotary torsion, safety comprises the stretching resistance of anticoagulant, electrode catheter on electrode catheter surface and integrity, to the mechanical stimulus of blood vessel and cardiac muscle etc.
At present general clinically electrode catheter is a multipolar electrode catheter, specifically by the conduit of a macromolecular material and distal end of catheter the platinum electrode that quantity do not wait is housed and forms.We find in clinical practice, and the safety for guarantee that electrode catheter is operated in the chambers of the heart requires conduit that enough flexibilities will be arranged; For guaranteeing that conduit has enough propelling movements and moment of torsion, require conduit that enough hardness will be arranged; For delivering to different parts in the heart, head end need give and curve definite shape.The far-end that the near-end that the clinicist operates electrode catheter will curve definite shape inserts in the heart different local.Clinical used conduit is all softer for guaranteeing processing safety at present, is 65-120 centimetre and conduit is long, and actual clinical Chinese physician needs the repeatable operation electrode catheter, electrode catheter could be sent into the heart appointed part.Prolong operating time like this, increased the RADI of X ray patient and surgical doctor.
Summary of the invention
The purpose of this utility model provides a kind of electric physiological electrode conduit, and the technical problem that solve is to make things convenient for the doctor that electrode catheter is successfully sent into appointed part in patient's chambers of the heart.
This utility model is by the following technical solutions: a kind of electric physiological electrode conduit, comprise the electrode of one section of safety line in conduit, the conduit and copper conductor, lead distal end and the adapter of catheter proximal end, and described conduit segmentation constitutes.
Conduit of the present utility model divides three sections formations.
Safety line of the present utility model is formed by the coiling of multiply stainless steel silk, 0.13 millimeter of per share stainless steel silk diameter, and the safety line surface scribbles urethane film, and the copper conductor surface scribbles urethane film.
There is a boss end of this utility model electrode, is embedded in the conduit distal-most end.
One end and the termination electrode of this utility model safety line weld together, and the other end is banded in the near-end of conduit.
The far-end of this utility model conduit is curved shape.
This utility model compared with prior art, the hardness of conduit by near-end to far-end gradually by hard to soft, conduit is made up of the different hardness section from the near-end to the far-end, near-end hardness height, far-end hardness is low, and take second place in the centre, the far-end of conduit in the chambers of the heart is enough soft like this, guarantee the safety of operation technique, and near-end there are enough rigidity, make conduit have excellent propelling movement performance and 1: 1 torsional performance.
Description of drawings
Fig. 1 is the structural representation of this utility model embodiment.
Fig. 2 is the A cutaway view Amplified image of Fig. 1.
Fig. 3 is the prolongation construction of cable sketch map of this utility model embodiment.
Fig. 4 is the end-electrode structure sketch map of this utility model embodiment.
Fig. 5 is a normal heart electricity physiologic conduction sketch map.
Fig. 6 sends into chambers of the heart diverse location sketch map for electric physiological electrode conduit of the present utility model.
Fig. 7 is electric physiological electrode conduit bending of the present utility model () sketch map.
Fig. 8 is electric physiological electrode conduit bending of the present utility model (a two) sketch map.
Fig. 9 is electric physiological electrode conduit bending of the present utility model (a three) sketch map.
Figure 10 is electric physiological electrode conduit bending of the present utility model (a four) sketch map.
Figure 11 is electric physiological electrode conduit bending of the present utility model (a five) sketch map.
Figure 12 is electric physiological electrode conduit bending of the present utility model (a six) sketch map.
The specific embodiment
In conjunction with the accompanying drawings and embodiments this utility model is described in further detail.As depicted in figs. 1 and 2, electric physiological electrode conduit of the present utility model comprise polyurethane kind material conduit 1, polyurethane conduit 1 one ends platinum electrode 2, be contained in the adapter 5 of safety line 3 in the polyurethane conduit 1 and copper conductor 4, polyurethane conduit 1 other end, as shown in Figure 3, adapter 5 is connected with and prolongs cable 6.Platinum electrode 2 is to be made by platinumiridio; Safety line 3 is to be formed by the coiling of multiply stainless steel silk, 0.13 millimeter of per share stainless steel silk diameter, and safety line 3 surfaces scribble urethane film; Copper conductor 4 surfaces scribble urethane film, its diameter look electrode what and change.
The polyurethane conduit 1 of electric physiological electrode conduit of the present utility model is made up of different hardness section more than three sections or three sections from the near-end to the far-end, near-end hardness height, far-end hardness is low, take second place in the centre, gradually from hard to soft, the far-end in the chambers of the heart is enough soft like this from the near-end to the far-end for the hardness of conduit, guarantee the safety of operation technique, and near-end has enough rigidity, makes conduit have excellent propelling movement performance and 1: 1 torsional performance
As shown in Figure 4, the termination electrode of platinum electrode 2 of the present utility model has a boss 7, adopt heat fused technology that termination electrode is embedded in the conduit distal-most end, termination electrode and conduit firmly fuse together like this, avoided present clinical used conduit to adopt gluing existence aging, meet the machine solvent,, effectively prevent termination electrode and come off as alcohol-soluble problem.One end of safety line 3 and termination electrode welding, the other end is banded in the near-end of conduit, guarantees that so under any circumstance termination electrode can not break away from conduit, causes accident.
This utility model is pre-bent to multiple given shape according to the anatomy characteristic of heart with conduit.The bending of electrode catheter is to design according to the anatomical structure of heart and electric physiologic conduction system.As shown in Figure 5, normal electric physiologic conduction approach is: sinuatrial node 8 → atrioventricular node 9 → Xi Shi restraints 10 → ventricle.As shown in Figure 6, general electrophysiologic study need be sent into many electrode catheters high right atrium 11, Xi Shi bundle 10 and right ventricle's 12 apex simultaneously to check whole conducting system; For abnormal conduction, also need check the conduction situation of the left side chambers of the heart, need electrode catheter is sent in the coronary sinus vein 13.According to the anatomical structure of heart, the requirement of electrophysiologic study and doctor's clinical experience, conduit is pre-bent to following given shape:
As shown in Figure 7, the A bending: this is a kind of multi-functional bending, can deliver to any position in the heart.
As shown in Figure 8, the B bending: this is a kind of multi-functional bending, can deliver to any position in the heart.
As shown in Figure 9, C bending: can deliver to apex of right ventricle or insert coronary sinus vein through femoral vein through subclavian vein.
As shown in figure 10, D bending: be used for sending into apex of right ventricle through femoral vein.
As shown in figure 11, E bending: be used for delivering to the Xi Shi bundle through femoral vein.
As shown in figure 12, F bending: be used for sending into coronary sinus vein through internal jugular vein or subclavian vein.
More than six kinds of bendings can guarantee electrode catheter to be delivered to the different specific part of heart smoothly and keep stable preferably, satisfy the requirement of electrophysiologic study fully, select for use for surgical doctor.

Claims (6)

1. electric physiological electrode conduit comprises the electrode of one section of safety line in conduit, the conduit and copper conductor, lead distal end and the adapter of catheter proximal end, and it is characterized in that: described conduit segmentation constitutes.
2. electric physiological electrode conduit according to claim 1 is characterized in that: described conduit divides three sections formations.
3. electric physiological electrode conduit according to claim 2 is characterized in that: described safety line is formed by the coiling of multiply stainless steel silk, 0.13 millimeter of per share stainless steel silk diameter, and the safety line surface scribbles urethane film, and the copper conductor surface scribbles urethane film.
4. electric physiological electrode conduit according to claim 3, it is characterized in that: there is a boss end of described electrode, is embedded in the conduit distal-most end.
5. electric physiological electrode conduit according to claim 4 is characterized in that: an end and the termination electrode of described safety line weld together, and the other end is banded in the near-end of conduit.
6. electric physiological electrode conduit according to claim 5, it is characterized in that: the far-end of described conduit is curved shape.
CN 200520055616 2005-03-08 2005-03-08 Electrical physiological electrode conduit Expired - Lifetime CN2782017Y (en)

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100438823C (en) * 2006-12-06 2008-12-03 成正辉 Diagnosing, calibrating and measuring and RF ablation electrode casing
CN102688093A (en) * 2012-06-20 2012-09-26 深圳市惠泰医疗器械有限公司 Renal artery cold saline water radio frequency ablation controllable electrode catheter
US8888773B2 (en) 2012-05-11 2014-11-18 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
US8956352B2 (en) 2010-10-25 2015-02-17 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US9084610B2 (en) 2010-10-21 2015-07-21 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses, systems, and methods for renal neuromodulation
CN106362292A (en) * 2015-08-21 2017-02-01 贾玉和 Dual-purpose catheter used for intracardial mapping and defibrillation
US10166069B2 (en) 2014-01-27 2019-01-01 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters having jacketed neuromodulation elements and related devices, systems, and methods
US10188829B2 (en) 2012-10-22 2019-01-29 Medtronic Ardian Luxembourg S.A.R.L. Catheters with enhanced flexibility and associated devices, systems, and methods
US10548663B2 (en) 2013-05-18 2020-02-04 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters with shafts for enhanced flexibility and control and associated devices, systems, and methods
US10736690B2 (en) 2014-04-24 2020-08-11 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters and associated systems and methods
WO2023124180A1 (en) * 2021-12-31 2023-07-06 杭州诺沁医疗器械有限公司 Adjustable guide sheath, ablation apparatus, ablation system, and myocardial ablation method

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100438823C (en) * 2006-12-06 2008-12-03 成正辉 Diagnosing, calibrating and measuring and RF ablation electrode casing
US10342612B2 (en) 2010-10-21 2019-07-09 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses, systems, and methods for renal neuromodulation
US9636173B2 (en) 2010-10-21 2017-05-02 Medtronic Ardian Luxembourg S.A.R.L. Methods for renal neuromodulation
US9855097B2 (en) 2010-10-21 2018-01-02 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses, systems, and methods for renal neuromodulation
US9084610B2 (en) 2010-10-21 2015-07-21 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses, systems, and methods for renal neuromodulation
US8956352B2 (en) 2010-10-25 2015-02-17 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US8998894B2 (en) 2010-10-25 2015-04-07 Medtronic Ardian Luxembourg S.A.R.L. Catheter apparatuses having multi-electrode arrays for renal neuromodulation and associated systems and methods
US8888773B2 (en) 2012-05-11 2014-11-18 Medtronic Ardian Luxembourg S.A.R.L. Multi-electrode catheter assemblies for renal neuromodulation and associated systems and methods
CN102688093B (en) * 2012-06-20 2014-08-27 深圳市惠泰医疗器械有限公司 Renal artery cold saline water radio frequency ablation controllable electrode catheter
CN102688093A (en) * 2012-06-20 2012-09-26 深圳市惠泰医疗器械有限公司 Renal artery cold saline water radio frequency ablation controllable electrode catheter
US10188829B2 (en) 2012-10-22 2019-01-29 Medtronic Ardian Luxembourg S.A.R.L. Catheters with enhanced flexibility and associated devices, systems, and methods
US11147948B2 (en) 2012-10-22 2021-10-19 Medtronic Ardian Luxembourg S.A.R.L. Catheters with enhanced flexibility and associated devices, systems, and methods
US10548663B2 (en) 2013-05-18 2020-02-04 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters with shafts for enhanced flexibility and control and associated devices, systems, and methods
US11154353B2 (en) 2014-01-27 2021-10-26 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters having jacketed neuromodulation elements and related devices, systems, and methods
US10166069B2 (en) 2014-01-27 2019-01-01 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters having jacketed neuromodulation elements and related devices, systems, and methods
US10736690B2 (en) 2014-04-24 2020-08-11 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters and associated systems and methods
US11464563B2 (en) 2014-04-24 2022-10-11 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation catheters and associated systems and methods
CN106362292A (en) * 2015-08-21 2017-02-01 贾玉和 Dual-purpose catheter used for intracardial mapping and defibrillation
WO2023124180A1 (en) * 2021-12-31 2023-07-06 杭州诺沁医疗器械有限公司 Adjustable guide sheath, ablation apparatus, ablation system, and myocardial ablation method

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C14 Grant of patent or utility model
GR01 Patent grant
ASS Succession or assignment of patent right

Owner name: CHENG ZHENGHUI

Free format text: FORMER OWNER: SHENZHEN HUITAI MEDICAL INSTRUMENT CO., LTD.

Effective date: 20070112

C41 Transfer of patent application or patent right or utility model
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Effective date of registration: 20070112

Address after: 518038 Tengfei Arts crafts emporium, Futian Free Trade Zone, Shenzhen, Guangdong

Patentee after: Cheng Zhenghui

Address before: 518038 Tengfei Arts crafts emporium, Futian Free Trade Zone, Shenzhen, Guangdong

Patentee before: Shenzhen Huitai Medical Instrument Co., Ltd.

ASS Succession or assignment of patent right

Owner name: SHENZHEN HUITAI MEDICAL INSTRUMENT CO., LTD.

Free format text: FORMER OWNER: CHENG ZHENGHUI

Effective date: 20081114

C41 Transfer of patent application or patent right or utility model
TR01 Transfer of patent right

Effective date of registration: 20081114

Address after: The comprehensive building of Tsinghua Nanshan District Keyuan Road Shenzhen city of Guangdong Province, room 804, zip code: 518057

Patentee after: Shenzhen Huitai Medical Instrument Co., Ltd.

Address before: Take off Arts crafts emporium, Futian Free Trade Zone, Guangdong, Shenzhen Province, China: 518038

Patentee before: Cheng Zhenghui

C17 Cessation of patent right
CX01 Expiry of patent term

Expiration termination date: 20150308

Granted publication date: 20060524